title: An older man with gout and vision changes.
abstract: Digoxin is widely used to manage heart failure and atrial fibrillation, and requires careful patient monitoring to avoid toxicity. Vision disturbances are a specific indicator of toxicity and may be the initial sign. Treatment depends on the patient's clinical presentation.
authors.affiliation: Office of Bassam Haddad, MD, Jersey City, NJ, USA.
authors.forename: Darlene
authors.initials: D
authors.lastname: Dobkowski
mesh_terms: D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000009:adverse effects*; D001281:Atrial Fibrillation / Q000188:drug therapy; D004077:Digoxin / Q000009:adverse effects*; D006073:Gout / Q000150:complications*; D006801:Humans; D007140:Immunoglobulin Fab Fragments / Q000627:therapeutic use*; D008297:Male; D051436:Renal Insufficiency, Chronic / Q000150:complications*; D014786:Vision Disorders / Q000139:chemically induced*
chemical_list: D000889:Anti-Arrhythmia Agents; D007140:Immunoglobulin Fab Fragments; C050199:digoxin antibodies Fab fragments; D004077:Digoxin